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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 126-127

Proximal humerus pathological fracture due to metastatic renal cell carcinoma


Department of Orthopaedics, Christian Medical College, Vellore 632 002, Tamil Nadu, India

Date of Submission19-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
V T.K. Titus
Department of Orthopaedics, Christian Medical College, Vellore 632 002, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2209_19

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How to cite this article:
Aravind M, Titus V T. Proximal humerus pathological fracture due to metastatic renal cell carcinoma. Indian J Med Res 2020;152, Suppl S1:126-7

How to cite this URL:
Aravind M, Titus V T. Proximal humerus pathological fracture due to metastatic renal cell carcinoma. Indian J Med Res [serial online] 2020 [cited 2021 Aug 4];152, Suppl S1:126-7. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/126/316775

Patient's consent obtained to publish clinical information and images.


A 52 yr old male presented to the department of Orthopaedics, Christian Medical College, Vellore, India, in September 2019, with complaints of dull-aching pain in the right shoulder for three months, aggravated on exertion, and relieved by rest and analgesics with pain in the night. He had undergone open radical nephrectomy with inferior vena cava (IVC) thrombectomy on June 5, 2018 for right renal cell carcinoma (RCC) with IVC thrombosis. On examination of the right shoulder, diffuse swelling associated with severe tenderness was present on the proximal humerus. There was no obvious deformity and the range of movements were restricted only due to severe pain. X-ray and magnetic resonance imaging [Figure 1], [Figure 2]A & [Figure 2]B showed a lytic mass with pathological fracture of the right proximal humerus. Open biopsy showed features of metastatic RCC. F18-PET bone scan showed right humerus metastasis. Right proximal humerus excision with mega prosthesis was done [Figure 3], and the patient's condition improved.
Figure 1: X-ray showing pathological fracture due to metastatic renal cell carcinoma (arrow).

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Figure 2: Magnetic resonance imaging in (A) anteroposterior and (B) axial view showing proximal humerus fracture with metastatic renal cell carcinoma.

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Figure 3: Postoperative X-ray after proximal humerus excision with mega prosthesis.

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Conflicts of Interest: None.


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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